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<br />'~
<br />If yon have given a lease to others for all or part of the property, stnto the names of the leasing cam-
<br />~ panics, partnerships or individuals:
<br />~
<br />Name Manager P. 0. Address
<br /> --
<br />~
<br />Q --
<br />'
<br />'
<br />Is property worked eontinuoualyt_--------
<br />----- --------- -----------------°-----
<br />' If work h¢s been atopPed,state when---------------------------- ----- ------
<br />~
<br />Name, title and address of person in charge of work for you______________ .~_-- --____--
<br />___
<br />I%~- .Iw...t F C..r ,
<br />- ~"~ Ceti="'y -------------,r/_-
<br />f
<br />o
<br />Stntc the character o re_______ ~_c~__-__-..-
<br />°
<br />
<br />State the value of the o
<br />,.,
<br />~ --------------
<br />re____f~___________-~~
<br />----- --------------
<br /> MEN EDIYLOYED
<br />~ . No. Employed No. Employed
<br />..,~ _Dfachine Drillmen, $_?~l__for_~_hourshift. _?_Engineers, _ _ _ $__5!__for_,__honrehift.
<br />~~ _L_Dfnchine Helpers, $__e:__for_u_hourshift. _____Pumpmea, _ _ $______for____hourshift.
<br />' , __~i._Dfinera, _ _ _ $_3~--_for_~c_hourahift. _____Firemen, _ _ _ $______'or____hourshift.
<br />__L__Timbermen, _ _ $__~!__for_:~_houreltift. _____731uckamiths, _ _ $______for____Itourahift.
<br />~ __~__Trnmmera, _ _ _ $__!!__for____hourshift. _____Tenmaters, _ _ _ $______for____hourehift.
<br />~ __l__Ore Sorters, _ _
<br />~~ __~_Foremen, _ _
<br />$______for____hourshift. _ $__Q. _for____hourehift.
<br />__l _Topmen, _ _ _ $__!!__for____hoursltift. __L_Supcrinteadent, _ $__Q ._for____hour shift.
<br />_____Lnborers, _ _ _ $______for____hourehift. _____Oilice Help, _ _ $______for____hourshift.
<br />~ _____Assayers, _ _ _ $______for____hourahift. _____Diillmen, _ _ _ $______for____hourahift.
<br />
<br />___Eleetricinns, _ _
<br />~' --
<br />$______for____hour-shift. _____~Vntchmen, _
<br />_ $______for____hourshift.
<br />i
<br />________________ _ _
<br />$______for____honrsl»ft. ________________ _
<br />_ $______for____hourshift.
<br />Avcrago cumber of men employed this year_____.~_~_
<br />~~ Is there a mill4-----~~----------------------------------------------------------------------
<br />Name of mill___________________________________Locntion of mill_________________________________
<br />Character of mill-------------------------------------------------------------------------------
<br />'i 1 ~ (, ----------------------------------------------------------------------------------------------
<br />I Capacity of mill_________________________________~Vlten was mill erected___________________________
<br />Oive list of buildings, tramways and other surface improvements ________________________J' _____
<br />~'S..-.,Lcc. ~ C ~Grw / ~ !/I•c.w ( /SIO~F' ~-c.~'!rr
<br />Ii ~ Cost of surface improvements made in 191_?/L _ _ _ _ _ _ _ _ _ $__ ~'s__°_°_-~-"
<br />State amount sad e}taracter of underground development:
<br />Total Development Amonat Done in 191~'~
<br />Sh¢fts __ ~ a_~~ __________________ft. _______'? ____ft.; coat per ft., $_' ~ = ___
<br />~~^-~ DViases _r ~__~ l n I:+ytr_ft. __ft.; coat per ft., $_____
<br />--- ---------
<br />---- -- ---------- -----
<br />Drifts ___ G ~!fr_,[~!-:-~~ _________ft. ~ ____~,i_~__ft.; cost per ft., $_ /u - __
<br />Crosecute ___~'~_____ _. ____________ft. ______~___ft.; coat per ft., $__!a_____
<br />~t $ave you reported to this dopnrtment all fatal and non-fatal accidents occurring to workmen in the
<br />twelve month~~~pre/geding the date of this report, ea required by lawt __!y_°i{ _GL~~_____________
<br />~~' Itemarka:_ ~c`__! __ _ [li"_`_ /Q%~,'- =--=Cs'!.h Gu al G.z,...,. £ _ ~,L ~ a..~ df a
<br />..
<br />~ t~, ~`~ Syr ~°--9-------------- -----
<br />~~I ~ -----!?l..!-1.:,.'~!, ~,~c....,,.o---` , cG._~C.c _ti. _3+F...__P_i,.. -~-- ~ ~tw.~/
<br />'~ ~%~ -------------QE'~ _ LH'r~c_ .~u+.c oat Sr .ldtu`.~ Ep~:._ ~irc lF~r 't't~
<br />---------------------
<br />-yy---------------------
<br />Signed---- - ------------------------------~pa~•
<br />,, i
<br />;1 -- ~ iL.
<br />~' ,~~ 1`ills----°----------------------
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